New Perspectives in Active Systems

active23_application for virtual participation

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1. Personal Data	2. General Information	3. Confirmation

The registration for virtual participation only is 16th April 2023.

The first part of the application form asks for your personal data. The second part is about your experience and the participation dates.

Personal Data

Title Of Courtesy
Title
First Name
Last Name
Email Address
Date Of Birth (dd.mm.yyyy)
Organisation
Institute
Department
City
Country
Nationality
Homepage url

I acknowledge the data protection advice

* Required